| NPI | 1265056626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD222647) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD222647) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2025-10-16 |